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Repair Of High Imperforate Anus With Fistula

Illinois rates for HCPCS 46742

Surgery in a child born without a normal anal opening, where the bowel ends high in the pelvis and drains instead through an abnormal channel into the urinary tube or the vagina. The abnormal channel is closed and the bowel is brought down to a newly created opening, working through both the abdomen and the area between the buttocks.

Facilitymedian $4,467 · 10th–90th $1,148$9,7720%10%10th90th$4,467Professionalmedian $2,884 · 10th–90th $2,291$5,7540%20%10th90th$2,884$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,466.84
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$29,512.09
Typical High
$56,234.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,715.35
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,311.31
Typical High
$5,623.41
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$4,466.84
Typical High
$11,481.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,235.94
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,818.38
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,090.30
Typical High
$5,248.07